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A Safety, Efficacy and Pharmacokinetics Study of CD11301 for the Treatment of Cutaneous T-Cell Lymphoma (CTCL)

A Randomized, Double-blind, Multi-centre, Placebo-controlled, Parallel-arm Phase 2 Trial to Assess Safety, Efficacy and Pharmacokinetics of CD11301 0.03% and 0.06% Gel in the Treatment of Cutaneous T-Cell Lymphoma (CTCL), Stages IA, IB and IIA

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03292406
Acronym
CTCL
Enrollment
86
Registered
2017-09-25
Start date
2017-12-19
Completion date
2020-03-17
Last updated
2021-04-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cutaneous T Cell Lymphoma

Keywords

T-Cell, Lymphoma, Cutaneous, CTCL

Brief summary

To assess the efficacy, safety and pharmacokinetics in participants treated with CD11301 gel vs. placebo for early stage CTCL (IA, IB, or IIA).

Detailed description

To assess the efficacy and safety of two concentrations (0.03% and 0.06%) of CD11301 gel in the treatment of early stage CTCL (stage IA, IB, or IIA) versus placebo.

Interventions

DRUGPlacebo

Non active ingredients of CD11301

DRUGCD11301 0.03%

Topical Gel

DRUGCD11301 0.06%

Topical Gel

Sponsors

Galderma R&D
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Clinical Diagnosis of CTCL stage IA, IB, or IIA with biopsy within last 3 months * Have BSA involvement corresponding to stages IA, IB or IIA CTCL with at least 3 distinct lesions

Exclusion criteria

* CTCL that is stage IIB or great or stage IIA with stage N2 with \>5% circulating Sezary cells or CD8+ or large cell transformation or Progressive CTCL * History of autoimmune disease * Laboratory test values at screening outside of the normal range and judged clinically significant by the investigator * Current participation in another clinical trial of a drug or device or past participation within 4 weeks before Baseline or participant is in exclusion period from a previous clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Week 12Overall response is defined as the number of participants that achieved a complete response (CR) or partial response (PR) as assessed by mCAILS. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. Complete response is defined as a 100% decrease from baseline i.e. score of '0' on the mCAILS scale. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline.

Secondary

MeasureTime frameDescription
Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Week 12OR is defined as the number of participants that achieved a complete response or partial response as assessed by mSWAT. mSWAT composite score involved the direct assessment of the BSA of each type of lesion (palm plus fingers of the participant= approximately 1% BSA) in each of 12 areas (Head, Neck, Anterior trunk, Arms, Forearms, Hands, Posterior trunk, Buttocks, Thighs, Legs, Feet, Groin) of the body, multiplying the sum of the BSA of each lesion type by a weighting factor (patch = 1, plaque = 2, and tumor = 3 or 4) and generating a sum of the subtotals of each lesion subtype. mSWAT score (0=no lesions; 400= lesions covering all areas). Complete response is defined as a 100% decrease from baseline. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline, and with a tumor subscore of zero (no tumor).
Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS ScoreUp to Week 36Time to overall response (CR or PR) is the number of days from the start of drug application to the first documentation of objective response assessed by mCAILS Score. The 25th, 50th, and 75th percentiles were presented along with 95% confidence intervals using the log-log transformation. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.
Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS ScoreUp to Week 36The duration of overall response (complete or partial) of the target treated lesions based on the mCAILS score was calculated in days as: (date of first non-response after responding) - (date of response) + 1. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.
Time to Progressive Disease Using mSWATUp to Week 36Progressive disease is defined as ≥ 25% increase in skin disease from baseline, or loss of response: in those with CR or PR, increase of skin score of greater than the sum of nadir plus 50% baseline score, Nadir is defined as the lowest skin score (best response).
Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 12, 24 and Follow up (Week 36)Participants answered 30 questions as part of the Skindex-29 survey. A composite score and 3 sub scores were calculated from the results. Item 18 of the survey was not used in any scoring. First, answers to each item were given a numeric value: Never = 0; Rarely = 25; Sometimes = 50; Often = 75; All the time = 100. The items used to calculate each subscore were: Emotions: 3, 6, 9, 12, 13, 15, 21, 23, 26, and 28 (10 items), Symptoms: 1, 7, 10, 16, 19, 24, and 27 (7 items), Functioning: 2, 4, 5, 8, 11, 14, 17, 20, 22, 25, 29, and 30 (12 items). The composite score is the average of the 3 sub scores ranging from 0 (no effect)-100 (maximum effect), higher score corresponds to lower quality of life.

Countries

France, Germany, United States

Participant flow

Recruitment details

This study was conducted at 3 countries (France, Germany, USA) between 19 Dec 2017 to 17 Mar 2020. A total of 86 participants were randomized to 1 of the 3 treatment groups (placebo gel or CD11301 gel 0.03% or 0.06%) in a 1:1:1 ratio.

Pre-assignment details

This study consisted of 2 cycles: Cycle 1 and Cycle 2. Each treatment cycle consisted of 8 weeks on treatment followed by 4 weeks without treatment. Cycle 1: drug product was applied on up to 5 percent (%) body surface area (BSA) and 10% BSA in cycle 2.

Participants by arm

ArmCount
CD11301 Gel 0.06%
Participants applied 0.06% CD11301 gel (up to 500 mg per dose) topically once daily, 3 to 5 times per week, for cycle 1 and 2 i.e. 24 weeks.
30
CD11301 Gel 0.03%
Participants applied 0.03% CD11301 gel (up to 500 mg per dose) topically once daily, 3 to 5 times per week, for cycle 1 and 2 i.e. 24 weeks.
28
Placebo
Participants applied placebo gel during cycle one followed by 0.03% CD11301 gel topically during cycle two once daily, 3 to 5 times per week, for 24 weeks.
28
Total86

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event714
Overall StudyOther012
Overall StudyProgressive Disease634
Overall StudyProtocol Violation011
Overall StudyWithdrawal by Subject072

Baseline characteristics

CharacteristicCD11301 Gel 0.06%CD11301 Gel 0.03%PlaceboTotal
Age, Continuous60.4 years
STANDARD_DEVIATION 14.43
56.8 years
STANDARD_DEVIATION 15.68
61.0 years
STANDARD_DEVIATION 14.21
59.5 years
STANDARD_DEVIATION 14.72
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants2 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants27 Participants26 Participants82 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants1 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
White
28 Participants27 Participants24 Participants79 Participants
Sex: Female, Male
Female
8 Participants8 Participants12 Participants28 Participants
Sex: Female, Male
Male
22 Participants20 Participants16 Participants58 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 281 / 27
other
Total, other adverse events
30 / 3028 / 2827 / 27
serious
Total, serious adverse events
2 / 302 / 281 / 27

Outcome results

Primary

Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12

Overall response is defined as the number of participants that achieved a complete response (CR) or partial response (PR) as assessed by mCAILS. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. Complete response is defined as a 100% decrease from baseline i.e. score of '0' on the mCAILS scale. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline.

Time frame: Week 12

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
CD11301 Gel 0.06%Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Complete Response0 Participants
CD11301 Gel 0.06%Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Partial Response4 Participants
CD11301 Gel 0.03%Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Complete Response2 Participants
CD11301 Gel 0.03%Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Partial Response5 Participants
PlaceboNumber of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Complete Response0 Participants
PlaceboNumber of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12Partial Response1 Participants
Secondary

Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36

Participants answered 30 questions as part of the Skindex-29 survey. A composite score and 3 sub scores were calculated from the results. Item 18 of the survey was not used in any scoring. First, answers to each item were given a numeric value: Never = 0; Rarely = 25; Sometimes = 50; Often = 75; All the time = 100. The items used to calculate each subscore were: Emotions: 3, 6, 9, 12, 13, 15, 21, 23, 26, and 28 (10 items), Symptoms: 1, 7, 10, 16, 19, 24, and 27 (7 items), Functioning: 2, 4, 5, 8, 11, 14, 17, 20, 22, 25, 29, and 30 (12 items). The composite score is the average of the 3 sub scores ranging from 0 (no effect)-100 (maximum effect), higher score corresponds to lower quality of life.

Time frame: Week 12, 24 and Follow up (Week 36)

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure and at specific category.

ArmMeasureGroupValue (MEAN)Dispersion
CD11301 Gel 0.06%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 24-2.16 score on scaleStandard Deviation 11.651
CD11301 Gel 0.06%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 121.93 score on scaleStandard Deviation 12.408
CD11301 Gel 0.06%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 36-3.30 score on scaleStandard Deviation 14.838
CD11301 Gel 0.03%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 24-3.36 score on scaleStandard Deviation 9.816
CD11301 Gel 0.03%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 12-0.27 score on scaleStandard Deviation 8.583
CD11301 Gel 0.03%Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 36-3.22 score on scaleStandard Deviation 8.34
PlaceboChange From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 12-1.58 score on scaleStandard Deviation 13.243
PlaceboChange From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 36-0.34 score on scaleStandard Deviation 14.081
PlaceboChange From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36Week 240.58 score on scaleStandard Deviation 16.059
Secondary

Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score

The duration of overall response (complete or partial) of the target treated lesions based on the mCAILS score was calculated in days as: (date of first non-response after responding) - (date of response) + 1. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.

Time frame: Up to Week 36

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
CD11301 Gel 0.06%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score50th (95% CI)141 Days
CD11301 Gel 0.06%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score25th (95% CI)133 Days
CD11301 Gel 0.06%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score75th (95% CI)NA Days
CD11301 Gel 0.03%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score50th (95% CI)NA Days
CD11301 Gel 0.03%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score25th (95% CI)NA Days
CD11301 Gel 0.03%Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score75th (95% CI)NA Days
PlaceboDuration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score25th (95% CI)NA Days
PlaceboDuration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score75th (95% CI)NA Days
PlaceboDuration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score50th (95% CI)NA Days
Secondary

Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12

OR is defined as the number of participants that achieved a complete response or partial response as assessed by mSWAT. mSWAT composite score involved the direct assessment of the BSA of each type of lesion (palm plus fingers of the participant= approximately 1% BSA) in each of 12 areas (Head, Neck, Anterior trunk, Arms, Forearms, Hands, Posterior trunk, Buttocks, Thighs, Legs, Feet, Groin) of the body, multiplying the sum of the BSA of each lesion type by a weighting factor (patch = 1, plaque = 2, and tumor = 3 or 4) and generating a sum of the subtotals of each lesion subtype. mSWAT score (0=no lesions; 400= lesions covering all areas). Complete response is defined as a 100% decrease from baseline. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline, and with a tumor subscore of zero (no tumor).

Time frame: Week 12

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
CD11301 Gel 0.06%Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Complete Response0 Participants
CD11301 Gel 0.06%Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Partial Response6 Participants
CD11301 Gel 0.03%Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Complete Response0 Participants
CD11301 Gel 0.03%Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Partial Response4 Participants
PlaceboNumber of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Complete Response0 Participants
PlaceboNumber of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12Partial Response2 Participants
Secondary

Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score

Time to overall response (CR or PR) is the number of days from the start of drug application to the first documentation of objective response assessed by mCAILS Score. The 25th, 50th, and 75th percentiles were presented along with 95% confidence intervals using the log-log transformation. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.

Time frame: Up to Week 36

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
CD11301 Gel 0.06%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score50th (95% CI)197 Days
CD11301 Gel 0.06%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score25th (95% CI)169 Days
CD11301 Gel 0.06%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score75th (95% CI)257 Days
CD11301 Gel 0.03%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score50th (95% CI)NA Days
CD11301 Gel 0.03%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score25th (95% CI)85 Days
CD11301 Gel 0.03%Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score75th (95% CI)NA Days
PlaceboTime to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score25th (95% CI)NA Days
PlaceboTime to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score75th (95% CI)NA Days
PlaceboTime to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score50th (95% CI)NA Days
Secondary

Time to Progressive Disease Using mSWAT

Progressive disease is defined as ≥ 25% increase in skin disease from baseline, or loss of response: in those with CR or PR, increase of skin score of greater than the sum of nadir plus 50% baseline score, Nadir is defined as the lowest skin score (best response).

Time frame: Up to Week 36

Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
CD11301 Gel 0.06%Time to Progressive Disease Using mSWAT50th (95% CI)NA Days
CD11301 Gel 0.06%Time to Progressive Disease Using mSWAT25th (95% CI)NA Days
CD11301 Gel 0.06%Time to Progressive Disease Using mSWAT75th (95% CI)NA Days
CD11301 Gel 0.03%Time to Progressive Disease Using mSWAT50th (95% CI)NA Days
CD11301 Gel 0.03%Time to Progressive Disease Using mSWAT25th (95% CI)191 Days
CD11301 Gel 0.03%Time to Progressive Disease Using mSWAT75th (95% CI)NA Days
PlaceboTime to Progressive Disease Using mSWAT25th (95% CI)93 Days
PlaceboTime to Progressive Disease Using mSWAT75th (95% CI)93 Days
PlaceboTime to Progressive Disease Using mSWAT50th (95% CI)93 Days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026